Medical Records Clerk

Summary of Position 

The Medical Records Clerk is responsible for maintaining accurate and secure patient medical records within our healthcare facility. This role ensures the timely retrieval, organization, and management of medical documents, supporting healthcare providers and staff by facilitating access to essential patient information. The Medical Records Clerk is committed to upholding confidentiality and compliance with HIPAA and other regulatory standards, delivering exceptional customer service in response to information requests. This position is essential in ensuring that patient records are complete, accessible, and managed efficiently to enhance the quality of care and operational effectiveness. 

Essential Responsibilities 

The following duties and tasks are necessary for the successful performance of the role and are considered critical to achieving the goals and objectives. 

• Maintain and organize patient medical records, ensuring accuracy, completeness, and confidentiality. 

• Retrieve and deliver patient records to healthcare providers and authorized personnel as requested. 

• Review patient records for accuracy, completeness, and adherence to established policies and regulations. 

• Assist in releasing medical information in compliance with privacy regulations and organizational guidelines. 

• Respond to internal and external requests for patient information, following appropriate verification protocols. 

• Support quality improvement efforts by identifying and addressing discrepancies in patient records. 

• Maintain confidentiality and security of patient information by adhering to HIPAA and other regulatory requirements. 

• Provide excellent customer service to patients, healthcare providers, and other stakeholders regarding medical record inquiries and requests. 

Education & Experience 

• Minimum 18 years old. 

• High School Diploma or GED is required.  

• Previous experience in a medical records department or healthcare setting is preferred. 

• Familiarity with electronic health record (EHR) systems and document management software is a plus. 

Required Skills/Abilities: 

• Ability to work independently and collaboratively in a fast-paced environment. 

• Strong organizational and project management skills. 

• Strong communication and interpersonal skills, with the ability to collaborate effectively across departments. 

• Knowledge of medical terminology is desirable. 

• Understanding of HIPAA regulations and other privacy laws related to medical records. 

• Strong organizational skills with attention to detail and accuracy. 

• Basic computer skills and proficiency in Microsoft Office Suite (Word, Excel, Outlook). 

Work Environment 

The work environment for this position is primarily an office setting. The noise level at this site is usually moderate, and it is climate controlled.  

Physical Requirements 

While performing the duties of this job the employee will need:  

• Ability to sit, stand, and walk for extended periods of time.  

• Manual dexterity and hand-eye coordination for operating computer keyboards and office equipment.  

• Vision abilities such as close vision and the ability to adjust focus for tasks such as reading documents and viewing computer screens.   

• Occasional bending, stooping, and accessing files or materials.  

• Ability to communicate frequently and effectively verbally and in writing.   

• Ability to use hands to produce records and/or documentation in manual or electronic format.   

• Ability to lift and carry up to 15 pounds occasionally for short distances when moving office supplies or equipment.